Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01216 | Date 19/09/2018 |
| Token No | SM/19-20/22975 11/06/2020 | Serial | 025 Last Visit: 31/01/2025 |
| Patient Name | Mrs. BHARTI GHOSH | Contact No | 9051714979 |
| Address | 31/A/1 CHATRA CHOWDHRY PARA BYE LANE | Age | 50 Years,0 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||